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Schedule II - Valuation and Qualifying Accounts - Valuation and Qualifying Accounts (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
SEC Schedule, 12-09, Allowance, Receivable from Insurance Provider [Member]
Balance	$ 42,014	$ 39,595	$ 31,729
Charged to costs and expenses	67,790	55,342	64,276
Deductions	(64,057)	(52,923)	(56,410)
Balance	45,747	42,014	39,595
SEC Schedule, 12-09, Allowance, Credit Loss [Member]
Balance	348	348	382
Charged to costs and expenses	350	0	220
Deductions	(198)	0	(254)
Balance	$ 500	$ 348	$ 348

X

- Definition

Amount of valuation and qualifying accounts and reserves.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 4
-Subparagraph (SX 210.12-09(Column B))
-URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e24092-122690

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 4
-Subparagraph (SX 210.12-09(Column E))
-URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e24092-122690

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Definition

Amount of increase in valuation and qualifying accounts and reserves from charge to cost and expense.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 4
-Subparagraph (SX 210.12-09(Column C)(1))
-URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e24092-122690

+ Details

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Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount of decrease in valuation and qualifying accounts and reserves.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 4
-Subparagraph (SX 210.12-09(Column D))
-URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e24092-122690

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Namespace Prefix:	us-gaap_
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Balance Type:	debit
Period Type:	duration

X

- Details

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Namespace Prefix:
Data Type:	na
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Period Type:

X

- Details

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Namespace Prefix:
Data Type:	na
Balance Type:
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